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Application for a student exchangeLogo university
All fields marked with a (*) must be filled in.
Application details
Type of application
 *
Status of person
 *
Exchange program *
Program subgroup *
Academic year of intended mobility *
Personal data
Last name *
First name *
Date of birth *
Format tt.mm.jjjj
Gender
 *
Nationality *
E-mail address *
Bitte verwenden Sie Ihre E-Mail-Adresse an der Universität Erfurt (Endung: @uni-erfurt.de)! Ohne Eingabe einer E-Mail-Adresse kann die Bewerbung nicht bearbeitet werden!
Same e-mail address for verification *
Person to contact in case of emergency
Last name *
First name *
E-Mail address *
Phone number *
Current Studies
Matriculation number *
Country of the home institution
Home institution
Study level


 *
Faculty *
Subject/Major
Minor, if applicable
Programme *
Current semester of study (according to enrolment certificate) *
Planned study abroad
Country of host institution (1st choice) *
Host institution (1st choice) *
Planned start semester for study abroad (1st choice) *
Number of semesters for study abroad (1st choice)
 *
Bitte beachten Sie, dass ein im Sommersemester begonnener Auslandsaufenthalt nur ein Semester dauern kann!
Subject/Major (1st choice) *
Planned study level (1st choice)


 *
  
Start of study abroad (1st choice) *
End of study abroad (1st choice) *
Bitte recherchieren Sie auf der Website Ihrer potentiellen Gasthochschule die ungefähren Semesterdaten.
Language of instruction (1st choice) *
Country of host institution (2nd choice)
Wenn Sie einen Ersatzwunsch haben, tragen Sie ihn hier ein. Ansonsten machen Sie keine Angaben.
Host institution (2nd choice)
Planned start semester for study abroad (2nd choice)
Number of semesters for study abroad (2nd choice)
Bitte beachten Sie, dass ein im Sommersemester begonnener Auslandsaufenthalt nur ein Semester dauern kann!
Subject/Major (2nd choice)
Planned study level (2nd choice)


  
Start of study abroad (2nd choice)
End of study abroad (2nd choice)
Bitte recherchieren Sie auf der Website Ihrer potentiellen Gasthochschule die ungefähren Semesterdaten.
Language of instruction (2nd choice)
Language skills
Foreign language 1
Comprehension - reading (foreign language 1)





Comprehension - listening (foreign language 1)





Speaking (foreign language 1)





Writing (foreign language 1)





Certificate (foreign language 1)
 There are still 4000 characters available
Informationen zu Sprachniveaus:
http://de.wikipedia.org/wiki/Gemeinsamer_Europäischer_Referenzrahmen.
Arten von Zertifikaten z.B.: TOEFL, IELTS, DALF etc.
Foreign language 2
Comprehension - reading (foreign language 2)





Comprehension - listening (foreign language 2)





Speaking (foreign language 2)





Writing (foreign language 2)





Certificate (foreign language 2)
Support and special needs
Do you have a disability?
 *
Falls zutreffend, fügen Sie bitte eine Kopie Ihres Behindertennachweises oder einen sonstigen Nachweis bei. (Studierende mit einem Grad der Behinderung (GdB) ab 20 erhalten zusätzliche ERASMUS-Förderung, sofern der GdB Mehrkosten im Ausland verursacht).
Do you have a child or children who will accompany you during your stay abroad?
 *
If applicable, please attach proof to your application, e.g. ID, birth certificate, helath insurance certificate. (Students travelling with child(ren) will receive additional ERASMUS funding).
Mobility grant
Have you previously participated in the ERASMUS programme during your studies?
 *
Would you like to apply for an ERASMUS grant?
 *
Declaration of consent
I confirm that all details given in the application form are correct and complete.  *
I have taken note of the data protection information. I consent to the processing and disclosure of my data in the form described therein.  *
Please click HERE to download the data protection information.
I agree to the forwarding of my application data for further funding measures (scholarships, grants).
 *
I agree to my email address being passed on to other exchange students at the University of Erfurt (students going abroad at the same time or successors).
 *
Mobility-Online